ABSTRACT
Background: Thoracic trauma is increasingly encountered now a days in emergency room
Objective: To determine the pattern and management outcome of thoracic trauma patients at area central Hospital Saudi Arabia
Methodology: Study Design: Crosssectional study. Place and Duration of Study: This study was conducted on 104 patients at the ER, ICU and Surgical floor of Arar Central Hospital, Northern Border Region, Saudi Arabia from 1 January to 31 December 2015. Information consisting of patients particulars, pattern and modes of injuries and hospital stay were recorded. Complications and deaths were analyzed by database to determine the morbidity and mortality. Patients irrespective of their age and gender were included in our study. The data was entered and analyzed by using SPSS version 11
Results: Sample size of 104 patients was included. Male to female ratio was 4:1. Patients age raised from 4 years to 82 years, mean age was 29.6 years. Blunt Trauma was most prevalent [72.11%], followed by Penetrating injuries [19.23%] and combined injuries [8.65%]. Extra thoracic injuries included orthopedic injuries in 35[33.65%] patients, 28[26.92%] patients has neurological injuries whereas in 23[22.11%] patients blunt abdominal trauma was noted. Most frequent injury pattern seen was Fracture Ribs 70 [67.30%] patients with underlying haemothorax in 27[25.96%]patients. Most of the patients treated either conservatively or with tube thoracostomy 53.84% and 43.27% respectively. Complications were encountered in 35 [33.65%] patients. 10 [9%]patients has Chest tube site infection whereas 7[6.73%] developed atelectasis treated successfully by Bronchoscopy. Overall 6 [5.76%] deaths were recorded during study duration
Conclusion: Thoracic injuries remain major trauma related issues in this part of country. Highest priority must be given to the chest injured patients in order to decrease the morbidity and mortality. Moreover surgical audit should be expanded to other facilities also in order to improve the health care facilities provided to patients
ABSTRACT
To assess the incidence of malignancy in patients with Multinodular goiter in southern Punjab. A retrospective study. Department of General Surgery, Sheikh Zayed Medical College and Hospital Rahim Yar Khan, from April 2010 to May 2012. All patients were presented in OPD with history of Multinodular goiter on clinical examination or USG neck. FNAC of any dominant nodule or suspicious nodule on USG neck was performed. All patients were operated and total thyroidectomies were done in all patients irrespective of the age. We sent all specimens for histopathological examination and reports were collected from department. The whole information collected was entered in a pre designed proforma. During 2 years period, total 141 patients of thyroid disease were seen in OPD out of which 98 patients have Multinodular goiter. Histopathology of these patients showed 10 malignancies and 88 benign. Most of the patients that turned out to be malignant belong to 41-50 years age group. 7 patients were female and 3 were male. Among the malignancies 50% were papillary, 30% were follicular, and 10% were anaplastic carcinoma and lymphomas each. Multinodular goiter [MNG] is the commonest indication of thyroidectomy in iodine deficient areas of Pakistan. This study concludes that don't consider MNG as a benign disease anymore until proved otherwise
Subject(s)
Humans , Female , Male , Thyroid Neoplasms/epidemiology , Thyroidectomy , Carcinoma, Papillary/epidemiology , Retrospective StudiesABSTRACT
The objective of the study was to compare open versus closed haemorrhoidectomy regarding relief of the symptoms [bleeding, prolapse, mucus discharge, Pruritis ani, constipation, and diarrhea], hospital stay and postoperative complications [bleeding, pain, recurrence, wound sepsis, urinary retention, fecal incontinence and anal stenosis]. This study was carried out at the Surgical Department, Bahawal Victoria Hospital [BVH] Bahawalpur from March 2009 to November 2009. A total of 50 patients were studied. The patients were divided into two equal groups [25 each]. Group-A was subjected to open haemorrhoidectomy and in Group-B for closed haemorrhoidectomy was done. In both groups, sixty percent of the patient were between 20-50 years of age and 64% of the patients were male. Relief of symptoms after performing haemorrhoidectomy in both groups was equally good. Constipation and Diarrhea were completely relieved in both groups. Bleeding was relieved in 20[80%] of patients of Group-A and 19[76%] of Group-B; prolapse was relieved in 18[72%] of the patients in Group-A and 22[88%] of Group-B. Mucus discharge and Pruritis were also successfully treated in more than 20[more than 80%] patients of each group. Duration of hospital stay after haemorrhoidectomy was significantly shorter in Group-B. Regarding postoperative complications, bleeding, wound sepsis, fecal incontinence, anal stenosis and recurrence of the disease were almost same but postoperative pain in Group-A was slightly higher than Group-B. In our study we concluded that both methods are fairly efficient treatment of choice for hemorrhoids, without serious complications. None of the methods has any significant advantage in terms of post operative pain reduction over the other. The wound heals faster in closed technique and consequently hospital stay is shorter but the risk of wound dehiscence seems exaggerated along with the increased incidence of sepsis